Wladimir Wertelecki
Clinical Genetics (M.D.)
307 University Blvd N Cc/cb 214
Mobile
, Alabama 36688-3053
Wladimir Wertelecki
Clinical Genetics (M.D.)
307 University Blvd N Cc/cb 214
Mobile
, Alabama 36688-3053
(251) 470-5809
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Wladimir Wertelecki
- Po Box 40480
- Mobile, AL
- Zip : 36640-0480
- Fax : (251) 470-5809
- Phone : (251) 470-5842
Second Address
- Wladimir Wertelecki
- 307 University Blvd N Cc/cb 214
- Mobile, AL
- Zip : 36688-3053
- Fax : (251) 460-3837
- Phone : (251) 460-7500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 6855 | AL |
National Provider Identifier
| NPI | 1386690766 |
|---|---|
| Provider Name | Wladimir Wertelecki |
| First Address | Mobile, AL 36640-0480 |
| Second Address | Mobile, AL 36688-3053 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 08/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00019813 | (05) | MS |
| 12-10008 | UNITED HEALTH CARE (01) | AL |
| 51046755 | BLUE CROSS (01) | AL |
| C78901 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.